Lead Surgical Coding Auditor
About the role
Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. This position may be remote for well-qualified applicants. Incumbent must be located in Minnesota or Wisconsin.
Responsibilities
SCOPE: Under minimal supervision performs comprehensive audits for all assigned surgeons, including gynecologic, thoracic, and colo-rectal. Verifies critical element documentation and pathway exception documentation in compliance with Federal and State regulations as well as payor guidelines. Provides effective educational feedback to physicians on findings from audits, updates, and provides general training on documentation best practices. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
- Performs EMR chart audits for surgeons in accordance with USON requirements to ensure medical records are commensurate with captured charges and billing.
- Works directly with providers to train and advise on supporting documentation for optimal reimbursement.
- Prepares reports of findings that details discrepancies and summarizes opportunities for improvement.
- Identifies coding and documentation trends that could be perceived as non-compliant with local guidelines.
- Recommends procedural improvements